tetano
Editor, Senior Moderator
Hum Vaccin Immunother. 2018 Jan 4:0. doi: 10.1080/21645515.2017.1403704. [Epub ahead of print]
[h=1]Innovations in adult influenza vaccination in China, 2014-2015: Leveraging a chronic disease management system in a community-based intervention.[/h] Yi B[SUP]1[/SUP], Zhou S[SUP]2[/SUP], Song Y[SUP]2[/SUP], Chen E[SUP]3[/SUP], Lao X[SUP]1[/SUP], Cai J[SUP]3[/SUP], Greene CM[SUP]2[/SUP], Feng L[SUP]4[/SUP], Zheng J[SUP]4[/SUP], Yu H[SUP]4[/SUP], Dong H[SUP]1[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]OBJECTIVES:[/h] To evaluate a community-based intervention that leveraged the non-communicable disease management system to increase seasonal influenza vaccination coverage among older adults in Ningbo, China.
[h=4]METHODS:[/h] From October 2014 - March 2015, we piloted the following on one street in Ningbo, China: educating community healthcare workers (C-HCWs) about influenza and vaccination; requiring C-HCWs to recommend influenza vaccination to older adults during routine chronic disease follow-up; and opening 14 additional temporary vaccination clinics. We selected a non-intervention street for comparison pre- and post-intervention vaccine coverage. In April 2016, we interviewed a random sample of unvaccinated older adults on the intervention street to ask why they remained unvaccinated.
[h=4]RESULTS:[/h] Pre-intervention influenza vaccine coverage among adults aged 60 years and older on both streets was 0.3%. Post-intervention, coverage among adults 60 years and older was 19% (1338/7013) on the intervention street and 0.4% (20/5500) on the non-intervention street (p<0.01). Among vaccinated older adults, 98% reported their main reason for vaccination was receiving a C-HCW's recommendation, 90% were vaccinated at temporary vaccination clinics, and 53% paid for vaccine (10 USD) out-of-pocket. Reasons for not getting vaccinated among 150 unvaccinated adults (response rate = 75%) included: good health (39%); not trusting C-HCWs' recommendations (24%); not knowing where to get vaccinated (17%); and not wanting to pay (9%).
[h=4]CONCLUSIONS:[/h] Recommending influenza vaccination within a non-communicable disease management system, combined with adding vaccination sites, increased vaccine coverage among older adults in Ningbo, China.
[h=4]KEYWORDS:[/h] Seasonal influenza vaccine; health system; healthcare worker; non-communicable disease; older adults; vaccination
PMID: 29300683 DOI: 10.1080/21645515.2017.1403704
[h=1]Innovations in adult influenza vaccination in China, 2014-2015: Leveraging a chronic disease management system in a community-based intervention.[/h] Yi B[SUP]1[/SUP], Zhou S[SUP]2[/SUP], Song Y[SUP]2[/SUP], Chen E[SUP]3[/SUP], Lao X[SUP]1[/SUP], Cai J[SUP]3[/SUP], Greene CM[SUP]2[/SUP], Feng L[SUP]4[/SUP], Zheng J[SUP]4[/SUP], Yu H[SUP]4[/SUP], Dong H[SUP]1[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]OBJECTIVES:[/h] To evaluate a community-based intervention that leveraged the non-communicable disease management system to increase seasonal influenza vaccination coverage among older adults in Ningbo, China.
[h=4]METHODS:[/h] From October 2014 - March 2015, we piloted the following on one street in Ningbo, China: educating community healthcare workers (C-HCWs) about influenza and vaccination; requiring C-HCWs to recommend influenza vaccination to older adults during routine chronic disease follow-up; and opening 14 additional temporary vaccination clinics. We selected a non-intervention street for comparison pre- and post-intervention vaccine coverage. In April 2016, we interviewed a random sample of unvaccinated older adults on the intervention street to ask why they remained unvaccinated.
[h=4]RESULTS:[/h] Pre-intervention influenza vaccine coverage among adults aged 60 years and older on both streets was 0.3%. Post-intervention, coverage among adults 60 years and older was 19% (1338/7013) on the intervention street and 0.4% (20/5500) on the non-intervention street (p<0.01). Among vaccinated older adults, 98% reported their main reason for vaccination was receiving a C-HCW's recommendation, 90% were vaccinated at temporary vaccination clinics, and 53% paid for vaccine (10 USD) out-of-pocket. Reasons for not getting vaccinated among 150 unvaccinated adults (response rate = 75%) included: good health (39%); not trusting C-HCWs' recommendations (24%); not knowing where to get vaccinated (17%); and not wanting to pay (9%).
[h=4]CONCLUSIONS:[/h] Recommending influenza vaccination within a non-communicable disease management system, combined with adding vaccination sites, increased vaccine coverage among older adults in Ningbo, China.
[h=4]KEYWORDS:[/h] Seasonal influenza vaccine; health system; healthcare worker; non-communicable disease; older adults; vaccination
PMID: 29300683 DOI: 10.1080/21645515.2017.1403704